DR. TRACEY ELLISON TAYLOR PSY.D., LP
NPI 1902294804
Psychologist - Clinical in Brandon, FL

Q: What is Tracey Ellison Taylor's NPI number?

The NPI number for Tracey Ellison Taylor is 1902294804. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Q: What is Tracey Ellison Taylor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 30, 2014PECOS EnrolledAccepts Medicare Assignment

615 OAKFIELD DR, BRANDON, FL 33511(833) 769-3524 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, Nov 19, 2024 (2 updates tracked since 2024).

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About Dr. Tracey Ellison Taylor Psy.d., Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACEY ELLISON TAYLOR PSY.D., LP (NPI 1902294804) is an individual clinical provider in Brandon, Florida, licensed in Florida (PY8204) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1902294804

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TRACEY ELLISON TAYLORCredential: PSY.D., LP

Location Address615 OAKFIELD DRBrandon, FL 33511-5714

Mailing Address615 Oakfield DrBrandon, FL 33511-5714 · (833) 769-3524 · Fax (813) 200-9860

Phone(833) 769-3524

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 30, 2014

Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1902294804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY8204

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

615 OAKFIELD DR, Brandon, FL 33511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tracey Ellison Taylor Psy.d., Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032438742

PECOS Enrollment IDI20150430002115

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tracey Ellison Taylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cotler Healthcare & Development Inc.

156 mi

Mental Health (Including Community Mental Health Center)

11120 S CROWN WAY STE 1
Wellington, FL 33414

Reassigned Medicare billing, Florida enrollment
194 clinicians in this Medicare group

NPI 1225075047 (561) 790-1191

Personal Recovery Network LLC

401 mi

Psychiatry

250 CORPORATE CENTER CT
Stockbridge, GA 30281

Reassigned Medicare billing, Florida enrollment
408 clinicians in this Medicare group

NPI 1881990869 (770) 389-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan

Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen

100%43 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%45 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGIE MURRAY LMHC

Counselor (Mental Health)